| NPI | 1982631768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 9900469) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01070226A) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IN 01070226A) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-05-07 |